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Actinomycotic brain abscess : report of two cases
B S Sharma1, R K Mahajan1, D Panigrahi1
1Department of Neurosurgery, Postgraduate Institute of Medical Education and Research, Chandigarh - 160012, India.
Neurology India
|March 16, 2018
Summary
Actinomycotic brain abscesses are rare, accounting for 1% of cases. CT scans showing irregular rim-enhancing lesions can suggest this cause, with bacteriology confirming diagnosis and combined treatment yielding excellent outcomes.
Area of Science:
- Neurology
- Infectious Diseases
- Radiology
Background:
- Actinomycotic brain abscesses are uncommon, representing 1% of all brain abscesses.
- Early identification and treatment are crucial for patient outcomes.
Purpose of the Study:
- To evaluate the clinical and radiological features of actinomycotic brain abscesses.
- To assess the effectiveness of combined medical and surgical treatment.
Main Methods:
- Retrospective analysis of 11 years of brain abscess cases.
- Review of computed tomography (CT) findings, including lesion characteristics.
- Confirmation of diagnosis through bacteriological studies.
- Evaluation of treatment outcomes for patients receiving combined therapy.
Main Results:
- Actinomycotic brain abscesses accounted for 1% of all brain abscesses over an eleven-year period.
- Irregular, nodular, thick, or multilocular peripheral rim-enhancing lesions on CT scans were suggestive of actinomycotic etiology.
- Bacteriological studies confirmed the diagnosis.
- Combined medical and surgical treatment demonstrated excellent results.
Conclusions:
- Specific CT findings can aid in the suspicion of actinomycotic brain abscesses.
- Prompt diagnosis and a combined treatment approach are associated with favorable outcomes.
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